Organization
BROMENN PHYSICIANS MANAGEMENT CORPORATION
Active
Other names
Fairbury Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BROUWER (PRESIDENT)
(309) 268-2129
Entity
Organization
Contact information
Practice address
115 E WALNUT ST, FAIRBURY, IL 61739-1516
(815) 692-2305
Mailing address
115 E WALNUT ST, FAIRBURY, IL 61739-1516
(815) 692-2305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
04/20/2008
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